Designing a Standardized Laparoscopy Curriculum for Gynecology Residents: A Delphi Approach
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BACKGROUND: Evidence suggests that simulation leads to improved operative skill, shorter operating room time, and better patient outcomes. Currently, no standardized laparoscopy curriculum exists for gynecology residents.
OBJECTIVE: To design a structured laparoscopy curriculum for gynecology residents using Delphi consensus methodology.
METHODS: This study began with Delphi methodology to determine expert consensus on the components of a gynecology laparoscopic skills curriculum. We generated a list of cognitive content, technical skills, and nontechnical skills for training in laparoscopic surgery, and asked 39 experts in gynecologic education to rate the items on a Likert scale (1-5) for inclusion in the curriculum. Consensus was predefined as Cronbach α of ≥0.80. We then conducted another Delphi survey with 9 experienced users of laparoscopic virtual reality simulators to delineate relevant curricular tasks. Finally, a cross-sectional design defined benchmark scores for all identified tasks, with 10 experienced gynecologic surgeons performing the identified tasks at basic, intermediate, and advanced levels.
RESULTS: Consensus (Cronbach α=0.85) was achieved in the first round of the curriculum Delphi, and after 2 rounds (Cronbach α=0.80) in the virtual reality curriculum Delphi. Consensus was reached for cognitive, technical, and nontechnical skills as well as for 6 virtual reality tasks. Median time and economy of movement scores defined benchmarks for all tasks.
CONCLUSIONS: This study used Delphi consensus to develop a comprehensive curriculum for teaching gynecologic laparoscopy. The curriculum conforms to current educational standards of proficiency-based training, and is suggested as a standard in residency programs.
Originalsprog | Engelsk |
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Tidsskrift | Journal of Graduate Medical Education |
Vol/bind | 7 |
Udgave nummer | 2 |
Sider (fra-til) | 197-202 |
Antal sider | 6 |
ISSN | 1949-8357 |
DOI | |
Status | Udgivet - jun. 2015 |
ID: 146757897